Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $76.80 / $76.80	Facility		$76.80	$76.80	$76.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $65.50 / $79.93	Professional		$52.25	$65.50	$79.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $78.09 / $163.80	Professional		$54.78	$78.09	$163.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.81 / $56.81 / $76.80	Facility		$56.81	$56.81	$76.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $62.49 / $78.93	Professional		$55.94	$62.49	$78.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.34 / $67.34 / $101.49	Professional		$54.34	$67.34	$101.49